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4/6/2009 2:25 PM FROM: Fax Morse Insurance TO: 18137800021 PAGE: 002 OF 002 <br /> ACORD. O ID CA DATE (MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE ,TO.1 04/06/09 <br /> PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION <br /> Greg Hinerman ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE <br /> Bruce tdorse Insurance Agbncy HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR <br /> 1000 Wekiva Springs Road ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br /> Longwood FL 32779 <br /> Phone: 407 -869 -4200 Fax:407- 862 -7656 INSURERS AFFORDING COVERAGE NAIC # <br /> INSURED INSURER A Nationwide Property a Casualty <br /> INSURER B Nationwide /Allied P&C Ins 42579 <br /> Dalton & Owens Electric <br /> INSURER C <br /> Services Inc. <br /> 100 Satellite Ct. INSURER D • <br /> Leesburg FL 34748 <br /> INSURER E <br /> COVERAGES <br /> THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING <br /> ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR <br /> MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH <br /> POLICIES. AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. <br /> T L DATE (MMIDDIY)E POLICY D E (MWDDIY) N <br /> LTR NS <br /> RD NSRL TYPE OF INSURANCE POLICY NUMBER LIMITS <br /> GENERAL LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> UAMAI�t IU IitIVItU <br /> A X COMMERCIAL GENERAL LIABILITY 77PR8598413001 12/31/08 12/31/09 PREMISES (Eaoccuren $ 100 ce) ,000 _ <br /> CLAIMS MADE X OCCUR MED EXP (Any one person) $ 5 , 000 <br /> PERSONAL & ADV INJURY $ 1 , 000 , 000 <br /> GENERAL AGGREGATE $ 2,000,000 <br /> GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS - COMP /OP AGG $ 2,000,000 <br /> - - <br /> POLICY PRO- <br /> JECT LOC <br /> AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1 , 000 , 000 <br /> B X ANY AUTO ACPBAPC5903771905 12/31/08 12/31/09 (Ea accident) <br /> ALL OWNED AUTOS BODILY INJURY <br /> SCHEDULED AUTOS (Per person) <br /> X HIRED AUTOS <br /> BODILY INJURY $ <br /> $ NON -OWNED AUTOS (Per accident) <br /> PROPERTY DAMAGE $ <br /> (Per accident) <br /> GARAGE LIABILITY AUTO ONLY - EA ACCIDENT $ <br /> ANY AUTO OTHER THAN EA ACC $ <br /> AUTO ONLY. AGG $ <br /> EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ 1 , 000 , 000 <br /> A X OCCUR CLAIMS MADE 77CU8598413002 12/31/08 12/31/09 AGGREGATE $ <br /> DEDUCTIBLE $ <br /> RETENTION 8 $ <br /> WORKERS COMPENSATION AND I A S 011 <br /> TORY <br /> TORY <br /> EMPLOYERS' LIABILITY LIMITS ER <br /> ANY PROPRIETOR/PARTNER /EXECUTIVE E.L. EACH ACCIDENT $ <br /> OPFICERIMEMBER EXCLUDED? <br /> E . DISEASE - EA EMPLOYEE $ <br /> If yes. describe under <br /> SPECIAL PROVISIONS below E.L. DISEASE - POLICY LIMIT $ <br /> OTHER <br /> A Leased /Rented 77PR8598413001 12/31/08 12/31/09 100000 <br /> Equipment <br /> DESCRIPTION OF OPERATIONS 1 LOCATIONS / VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT 1 SPECIAL PROVISIONS <br /> CERTIFICATE HOLDER CANCELLATION <br /> SEPHYRH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION <br /> City of Eephyrhills DATE THEREOF, THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN <br /> Building Dept NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO DO SO SHALL <br /> Fax: 813-780-0021 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER, ITS AGENTS OR <br /> 5335 8th Street <br /> Zephyrhills FL 33542 REPRES NTATIVES. <br /> p <br /> ACORD 25 (2001/08) © ACORD CORPORATION 1988 <br />